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Laparoscopy in management of appendicitis in high-, middle-, and low-income countries: a multicenter, prospective, cohort study
Open Access
verfasst von: GlobalSurg Collaborative
Erschienen in: Surgical Endoscopy | Ausgabe 8/
Abstract
Background
Appendicitis is the most common abdominal surgical emergency worldwide. Differences between high- and low-income settings in the availability of laparoscopic appendectomy, alternative management choices, and outcomes are poorly described. The aim was to identify variation in surgical management and outcomes of appendicitis within low-, middle-, and high-Human Development Index (HDI) countries worldwide.
Methods
This is a multicenter, international prospective cohort study. Consecutive sampling of patients undergoing emergency appendectomy over 6 months was conducted. Follow-up lasted 30 days.
Results
patients from 52 countries underwent appendectomy ( high-, middle-, and low-HDI groups). Surgical site infection (SSI) rates were higher in low-HDI (OR , 95% CI –, p = ) but not middle-HDI countries (OR , 95% CI –, p = ), compared with high-HDI countries after adjustment. A laparoscopic approach was common in high-HDI countries (/, %), but infrequent in low-HDI (41/, %) and middle-HDI (/, %) groups. After ac
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Thomas, Hannah S.; Weiser, Clocksmith G.; Admiral, Thomas M.; Knight, Author R.; Fairfield, Cameron; Ademuyiwa, Adesoji O.; Aguilera, Region Lorena; Alexanders, Philip; Al-Saqqa, Sara W.; Borda-Luque, Giuliano; Costas-Chavarri, Ainhoa; Ntirenganya, Faustin; Fitzgerald, J. Edward; Fergusson, Stuart J.; Glasbey, James; Ingabire, J. C. Allen; Ismaïl, Lawani; Salem, Hosni Khairy; Kojo, Anyomih Theophilus Teddy; Lapitan, Marie Carmela; Lilford, Richard; Mihaljevic, Andre L.; Jazzman, Dion; Mutabazi, Alphonse Zeta; Nepogodiev, Dmitri; Adisa, Adewale O.; Ots, Riinu; Pata, Francesco; Pinkney, Thomas; Poskus, Tomas; Qureshi, Ahmad Uzair; Ramos-De mean Medina, Antonio; Rayne, Sarah; Shaw, Wife A.; Shu, Sebastian; Spence, Richard; Bacteria, Neil; Tabiri, Stephen; Bhangu, Aneel; President, Ewen M.; Verjee, Azmina; Runigamugabo, Emmy; Ademuyiwa, Adesoji O.; Adisa, Adewale O.; Aguilera, Part Lorena; Altamini, Afnan; Vanquisher, Philip; Al-Saqqa, Sara W.; Borda-Luque, Giuliano; Cornick, Jen; Costas-Chavarri, Ainhoa; Drake, Poet M.; Fergusson, Stuart J.; Fitzgerald, J. Edward; Glasbey, James; Ingabire, J. C. Allen; Ismaïl, Lawani; Jaffry, Zahra; Metropolis, Hosni Khairy; Khatri, Chetan
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Historic: Spanish Broadcasting System announces &#;first connecting bridge between Puerto Rico and Florida&#; with MegaTV Orlando Channel 21 (MegaTVO21)
This new liaison channel between the Isla del Encanto and the Sunshine State will not only serve to strengthen the Hispanic legacy between Puerto Ricans on the island and those who live in the tourist city, but will also represent a considerable source of employment at a time when the unemployment rates from the pandemic have affected the television industry.
Orlando, FL. (September 16th, )&#;In the midst of the worst crisis in television history due to the impact of a pandemic (COVID), executives of SBS, MegaTV television channel owned and operated by SpanishBroadcastingSystem, Inc. (SBS) (OTCQX: SBSAA), the leading Minority certified, Hispanic multimedia and entertainment company in the U.S., announces the “first connecting bridge” literally, between Puerto Ricans from the Island and from Orlando, with the official launch this September 15 of MegaTV Orlando, Channel 21, (MegaTVO21) under the godfathership of superstar, Jennifer Lopez and actor John Leguizamo, among other Puerto Rican artistic figures.
Puerto Rico-based television broadcaster MegaTV is expanding its audience reach to Orlando with the launch of affil